| NPI | 1699105023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY NEICE Owner 316-619-1541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KS 200375910) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: KS 200375910) |
| 253Z00000X In Home Supportive Care (Licence: KS 200375910) | |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |